JP2020030468A - Nursing service support system - Google Patents

Abstract

To provide a nursing service support system capable of reducing a work burden on a nurse who produces a nursing record.SOLUTION: The nursing service support system includes: an income 11 worn by a nurse; an income communication part 2c installed at an appropriate place in a hospital; a voice storage part 12a that stores, together with time information, voice transmitted from the income 11 via the income communication part 2c; a text conversion part 12c that converts voice into text data; a text data storage part 12b that stores the generated text data; and an operation part 13b and a display part 13a that edit the text data in order to produce a nursing record. The text data conversion part 12c converts the voice stored together with the time information in the voice storage part 12a into a time line and into the text data, and the time-lined text data together with the time information is stored in the text data storage part 12b.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a nursing service support system that supports creation of a nursing record.

The details of the treatment performed by the nurse on the inpatient and the records of the patrol of the patient are stored as nursing records. Conventionally, nursing records and the like have been created and stored by returning to a nurse station and operating a nurse call master device or the like or recording on a recording sheet.
The proportion of such reporting / recording work in the nursing work is extremely high, which is one of the load factors of the work. In particular, nursing records must be created without sufficient time during nursing, because there is a possibility that memory errors or omissions may occur when trying to create nursing records later.
Therefore, in order to reduce this burden, there has been a system that can perform a part of the treatment while treating a patient in a hospital room. For example, in Patent Literature 1, treatment records can be input from a bedside terminal installed for each bed in order to improve the convenience for patients, and the work load for creating nursing records has been reduced.

JP 2014-97116 A

According to the technique disclosed in Patent Literature 1 in which a treatment record is input from a bedside terminal, a part of the nursing record can be recorded without returning to the nurse station. Was completed.
However, since the recording operation itself did not end, the operation was not significantly reduced.

  In view of such problems, an object of the present invention is to provide a nursing service support system that can reduce the workload of a nurse who creates a nursing record.

In order to solve the above-mentioned problem, the invention according to claim 1 includes a microphone and a transmission unit that wirelessly transmits a sound collected by the microphone, and is installed at an appropriate position in a hospital with a microphone device worn by a nurse. Receiving means for receiving sound wirelessly transmitted from the microphone device, sound storing means for storing the sound transmitted from the microphone device via the receiving means together with time information, and controlling storage of the sound in the sound storing means. Voice input control means, text data conversion means for converting voice to text data, text data storage means for saving the generated text data, and editing means for editing the text data to create a nursing record, The voice data stored in the voice storage means is converted to text data by the text data conversion means, converted into text data, and converted into text data. Characterized in that it is stored in the presence means.
According to this configuration, the treatment content for the patient whose voice is input is converted into text data and stored, so if a nursing record is created using this text data, without inputting a new sentence, Nursing records can be easily created. In addition, since the timeline is stored and saved, it is difficult to make mistakes in the time of the treatment.

According to a second aspect of the present invention, in the configuration according to the first aspect, a nursing record storage unit for storing a nursing record, a display unit for displaying the text data stored in the text data storage unit, and a display unit for displaying the text data. An edit control unit that enables editing by drag-and-drop or copy-and-paste operation of text data, wherein the text data is edited by drag-and-drop or copy-and-paste operation by operation of the editing means, and the nursing record is saved. It is characterized by being stored in a section.
According to this configuration, a nursing record can be created by a drag-and-drop or copy-and-paste operation of a text-converted voice, and can be created by a simple operation.

According to a third aspect of the present invention, in the configuration according to the second aspect, when the drag and drop or the copy and paste operation is performed, the edit control unit performs the same edit on the time information of the edited time line, The time information of the time line is also stored in the nursing record storage unit together with the edited text data.
According to this configuration, the time information at which the treatment was performed is saved even after editing, so that a nursing record with sufficient contents can be left even with a simple nursing record creation operation.

According to a fourth aspect of the present invention, in the configuration according to any one of the first to third aspects, the text data conversion means generates a new timeline when the sound collected by the microphone is interrupted for a predetermined time, and generates the text data. The feature is that the conversion to is continued.
According to this configuration, if the predetermined time is set to, for example, one second, the sound that has been interrupted for one second becomes a new timeline, so that it is possible to prevent the character information from being long-cultured and to facilitate the editing operation.

According to a fifth aspect of the present invention, in the configuration according to any one of the first to fourth aspects, there is provided a position management system for managing a current position of a nurse, and also stores individual bed position information and association between a bed and a patient. It has a nursing-related information storage unit, and further obtains the position of the nurse who is inputting voice to the microphone device from the position management system, and refers to the nursing-related information storage unit based on the obtained nurse's position information. It has a patient specifying unit for specifying a patient, and the voice storage means stores the patient information specified by the patient specifying unit together with the voice.
According to this configuration, since the voice stored by the voice storage unit is stored together with the patient information specified from the position of the nurse, the patient can be automatically specified without inputting the patient name or the like when inputting voice. . Therefore, the patient to be treated can be grasped at the time of nursing record creation, and there is no mistake.

According to a sixth aspect of the present invention, in the configuration according to any one of the first to fourth aspects, at least one of a bed number and a patient name is determined from the character information converted into text data to identify a patient to be treated. It has a patient discriminating means for discriminating, and the text data stored in the text data storing means is stored for each patient based on the patient information discriminated by the patient discriminating means.
According to this configuration, since the text data is stored for each patient based on the patient information such as the name of the patient input by voice, it is easy to create a nursing record for each patient.

  According to the present invention, the treatment content for the patient whose voice is input is converted into text data and stored, so if a nursing record is created using this text data, without inputting a new sentence, Nursing records can be easily created. In addition, since the timeline is stored and saved, it is difficult to make mistakes in the time of the treatment.

It is a lineblock diagram showing an example of a nursing service support system according to the present invention. It is a functional block diagram of a data storage server. It is a functional block diagram of a management server. It is a display explanatory view of a management server. It is a display explanatory view of a management server.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. FIG. 1 is a configuration diagram showing an example of a nursing service support system according to the present invention, which is configured by a nurse call system S1 for a patient to call a nurse and a position management system S2 for managing the position of the nurse. I have.

  First, the nurse call system S1 will be described. The nurse call system S1 is installed in each bed to allow a patient to call a nurse. The nurse call slave unit 1 is installed in each hospital room to display patient information, report the occurrence of a call, and relay a call signal. A hallway light 2, a nurse call master unit 3 installed at a nurse station to respond to a call from a patient, a mobile phone 4 such as a smartphone carried by a nurse to respond to a call from a patient, and a device. A controller 5 that controls communication, a base station 6 such as an access point that communicates with the mobile phone 4, an exchange (IP-PBX) 7 that manages communication between the mobile phone 4 and the base station 6, and stores various types of patient information. A nurse call server 8 and the like are provided.

  However, in the present invention, the intercom 11 worn by the nurse, the voice input to the intercom 11, the data storage server 12 for storing text data obtained by transliterating the voice, and the nursing record are stored in this system. The nurse call system S1 is further provided with the management server 13. 9 indicates a HUB, and N indicates a nurse.

  The nurse call slave device 1 is composed of a call grip button 1a operated by a patient, a plate slave device 1b installed on a wall surface, connecting the call grip button 1a, and having a microphone and a speaker. The plate slave unit 1b is connected via a transmission line to a corridor lamp 2 installed in each hospital room.

  The corridor lamp 2 has a patient information display unit 2a for displaying patient information such as the name of a patient hospitalized in a hospital room, and a display lamp 2b for displaying a call by the nurse call slave unit 1, and an intercom that wirelessly communicates with the intercom 11. The communication unit 2c is connected.

  The nurse call base unit 3 includes a first display 3a for displaying various patient information including a list of patient information, a second display 3b for displaying patient information of a caller, a handset 3c for responding to a call from a patient, and the like. Have.

  The controller 5 stores the association between the nurse call slave 1 (bed) and the patient, the association between the nurse and the mobile phone 4, the association between the income 11 and the nurse, and further stores the position information of each bed. It has a related information storage unit 5a. The communication between the nurse call slave unit 1 and the nurse call master unit 3 and the mobile phone 4 is controlled, and the communication between the intercom 11 and the intercom communication unit 2c and the voice transmitted from the intercom 11 are transmitted to the data storage server 12. Implement control to save.

  The intercom 11 has a microphone 11a worn by a nurse for collecting sound, a speaker (earphone) 11b for notifying a communication state, and an external communication unit 11c for wirelessly transmitting the collected sound to the data storage server 12. I have.

  FIG. 2 shows a functional block diagram of the data storage server 12. As shown in FIG. 2, the data storage server 12 controls a voice storage unit 12a for storing voice, a text data storage unit 12b for storing text data, a text conversion unit 12c for converting voice to text, and a data storage server 12. And a data storage server communication IF 12e for communicating with the controller 5 and the like.

Under the control of the data storage server CPU 12d, the voice data stored in the voice storage unit 12a is stored in association with the time information of the voice input.
When the text converter 12c converts the data into text data, the length of the silence period is counted, and if the silence period continues for a certain period of time, the timeline is switched, and a new timeline is generated.
The generated text data is stored in the text data storage unit 12b in chronological order together with the time information.

FIG. 3 shows a functional block diagram of the management server 13. As shown in FIG. 3, the management server 13 includes a display unit 13a for displaying various information, an operation unit 13b having a mouse and a keyboard, a nursing record storage unit 13c, a management server CPU 13d for controlling the management server 13, and a controller 5 , A management server communication IF 13e for communicating with the data storage server 12, and the like.
The management server CPU 13d has a nursing record creation function that enables text data displayed on the display unit 13a by operation of the operation unit 13b to be edited by drag-and-drop or copy-paste operation using the operation unit 13b.

  The nurse call server 8 is connected to an ordering system (not shown), and stores various patient information obtained from the ordering system. And it has a function to link with the position management system S2 and obtain the position information of the mobile phone 4 carried by the nurse from the position management system S2.

  The corridor lamp 2, the nurse call master 3, the exchange 7, the nurse call server 8, the data storage server 12, and the management server 13 are all connected to the controller 5 by a LAN line L1.

  On the other hand, the position management system S2, for example, employs the technology of IMES, and manages the position of the IMES transmitter 21 installed at an appropriate position in the hospital and transmitting a position signal, and the mobile phone 4 carried by the nurse. It is configured by a position management server 22. The IMES transmitter 21 and the location management server 22 are connected by a communication line L2. The location management server 22 and the nurse call server 8 are connected to each other by a communication line L3 and cooperate with each other, and obtain the location information of the mobile phone 4 based on the location information of the IMES transmitter 21 from the nurse call server 8. Then, the position of each mobile phone 4 is managed.

  The mobile phone 4 has a GPS reception function and a position information transmission function of transmitting its own position information. With this position information transmission function, a signal emitted by the IMES transmitter 21 is received in the ward, and the own position signal is transmitted based on this signal. The location information is transmitted to the location management system S2 via the base station 6 and the nurse call server 8, and the location of the mobile phone 4 is managed by the location management server 22. Then, if there is a request for position information of any mobile phone 4 from the controller 5 via the nurse call server 8 to the position management system S2, the position information stored in the position management server 22 is returned. You.

The nursing service support system configured as described above operates as follows.
The nurse wears the intercom 11 when traveling around the patient and when treating the patient upon receiving a call from the patient.
The intercom 11 communicates with the nearest intercom unit 2c as the nurse moves, and periodically transmits its own identification signal to the controller 5 via the intercom unit 2c. The controller 5 that has received the identification signal of the intercom 11 specifies the mobile phone 4 associated with the received identification signal of the intercom 11 based on the information in the nursing-related information storage unit 5a. The mobile phone 4 is specified by first identifying the nurse wearing the intercom 11 from the identification signal of the intercom 11, and then identifying the mobile phone 4 from the information of the nurse.

  The controller 5 obtains the position information of the specified mobile phone 4 from the position management system S2 in order to grasp the position of the mobile phone 4 thus specified (the position of the nurse). Communication with the position management system S2 is performed via the nurse call server 8, and the position information of the mobile phone 4 is transmitted from the position management server 22.

The controller 5 that has obtained the position information of the mobile phone 4 is undergoing treatment by a bed arranged at a position that matches or substantially matches the position information based on the position information, and a patient associated with the bed, that is, a nurse. The patient is identified from the information in the nursing-related information storage unit 5a.
As a result, a nurse who is inputting voice to the income 11 and a patient in which the nurse is traveling or performing treatment is specified.

  When the nurse who has visited the patient and grasped the state of the patient inputs the patient's condition to the income 11 worn by the nurse and performs treatment on the patient in response to the call, As the contents and the state of the patient are input to the income 11 and stored in the voice storage unit 12a, the patient information associated with the position information specified at that time is also stored. Note that this input may be performed in a form of conversation with the patient, and a treatment record or the like can be input without making the patient anxious.

The voice data thus stored in the data storage server 12 is then converted into text data by the text converter 12c under the control of the data storage server CPU 12d. This conversion may be performed automatically or may be performed by operating a conversion instruction button.
However, when converting to text, if the voice stored in the voice storage unit 12a has a silent time longer than a preset time such as one second, a new timeline is generated and the text is converted. Then, the text-converted document data (text data) is stored in the text data storage unit 12b together with the voice input time information.
At this time, the generated document data is stored separately for each patient specified at the time of voice input.

The text data thus generated is edited in the management server 13 and stored as a nursing record. Specifically, first, by a predetermined display operation, the text data stored in the data storage server 12 is extracted and displayed on the display unit 13a of the management server 13.
FIG. 4 shows this display state, where D1 is a timeline display area, and text data converted from voice is displayed on the timeline. D2 represents a patient name display section for displaying a patient to be treated, and D3 represents a text data display section.
The voice input by the intercom 11 is converted into text data and displayed. In addition, the time information is displayed on the page of the corresponding patient.

A portion required as a nursing record is dragged and dropped or copied and pasted from the text data by operating the mouse of the operation unit 13b or the like, and is dropped. FIG. 5 shows a state in which a nursing record is created by a copy and paste operation. D4 indicates text data dropped from the timeline display area D1 and saved as a nursing record. Note that a timeline where the timeline D3 shown in FIG. 4 is dragged is shown.
Then, at the time of the dropping operation, the time information D5 is also copied and pasted and stored as a nursing record.

As described above, since the treatment content for the patient who is input by voice is converted into characters and stored, if a nursing record is created using this text data, the nursing record can be stored without inputting a new sentence. Can be easily created. In addition, since the timeline is stored and saved, it is difficult to make mistakes in the time of the treatment.
Then, the nursing record can be created simply by dragging and dropping or copying and pasting and editing, and the nursing record can be easily created.
Further, since the time information of the time when the treatment is performed is saved even after editing, even a simple nursing record creation operation, a nursing record having sufficient contents including the time information can be left.
In addition, if the sound is interrupted for a certain period of time, it is recorded on a new timeline, so that it is possible to prevent the text information from being long-cultured, and to facilitate the editing operation.
Further, since the voice stored by the voice storage means is stored together with the patient information specified from the position of the nurse, the patient can be specified automatically without inputting the patient name or the like when inputting voice. Therefore, the patient to be treated can be grasped at the time of nursing record creation, and there is no mistake.

Next, another embodiment of the nursing service support system will be described. In the above embodiment, the nurse is automatically recognized by the nurse call system S1 and the position management system S2 to configure the nursing work support system, so that the nurse is treating the patient. However, it is possible for the nurse to automatically recognize the patient being treated, and the procedure can be performed as follows.
In this case, the position of the nurse (patient to be treated) is specified by the patient information that the nurse has input into the intercom 11 by voice. The patient information such as the patient name or bed number input by voice is converted by the text conversion unit 12c, and is collated with the patient information stored in the nursing-related information storage unit 5a of the controller 5 under the control of the data storage server CPU 12d. Then, the patient information of the matching patient name is read and stored in the text data storage unit 12b together with the processing contents converted into text data.

  As described above, since the text data is stored for each patient based on the patient identification information such as the patient name input by voice, it is easy to create a nursing record for each patient. Then, the patient information can be stored together with the text data without providing the position management system S2 for managing the position of the nurse.

In the above embodiment, the patient is identified based on the position information of the mobile phone 4. However, the intercom 11 itself may have a position information transmission function built in the mobile phone 4. The intercom 11 includes the speaker 11b in addition to the microphone 11a, but may include only the microphone 11a.
Further, although the management server 13 is provided independently, it may be integrated with the data storage server 12 or may be integrated with the nurse call master device 3.
Further, the intercom 11 may be a pin microphone attached to the chest, or the intercom communication unit 2c for communicating with the intercom 11 is connected to the corridor light 2, but may be integrated with the base station 6 of the mobile phone 4.

  1. Nurse call cordless handset, 2. Corridor light, 2c Income communication unit (receiving means), 3. Nurse call master phone, 4. Mobile phone, 5. Controller (voice input control means, Patient identification unit), 5a ... nursing related information storage unit, 6 ... base station, 7 ... exchange, 8 ... nurse call server, 11 ... intercom (microphone device), 11a ... microphone, 11c ... external Communication unit (transmission unit), 12 data storage server, 12a voice storage unit (voice storage unit), 12b text data storage unit (text data storage unit), 12c text conversion unit (text data conversion) Means), 12d data storage server CPU (patient determination means), 13 management server, 13a display unit (editing means), 13b operation unit (editing means), 13c nursing record storage unit, 13d tube Server CPU (edit control unit), 21 IMES transmission unit, 22 location management server, S1 nurse call system, S2 location management system, D1 timeline display area, D3 text data display Department.

Claims (6)

A microphone and a transmitting device for wirelessly transmitting the sound collected by the microphone, a microphone device worn by a nurse,
A receiving unit that is installed at an appropriate position in a hospital and receives audio wirelessly transmitted from the microphone device,
A sound storage unit that stores the sound transmitted from the microphone device via the reception unit together with time information,
Voice input control means for controlling storage of voice in the voice storage means,
Text data conversion means for converting voice into text data,
Text data storage means for storing the generated text data,
Editing means for editing text data to create a nursing record; and
A nursing service support system, wherein the voice stored in the voice storage unit is converted into text data by the text data conversion unit, converted into text data, and stored in the text data storage unit. A nursing record storage unit for storing nursing records,
A display unit for displaying the text data stored in the text data storage unit,
An edit control unit that enables editing by drag-and-drop or copy-paste operation of the text data displayed on the display unit,
2. The nursing service support system according to claim 1, wherein the text data is edited by a drag-and-drop or copy-paste operation by the operation of the editing means, and is stored in the nursing record storage unit. The edit control unit performs the same edit on the time information of the edited timeline when the drag & drop or copy & paste operation is performed,
3. The nursing service support system according to claim 2, wherein the time information of the time line is stored in the nursing record storage unit together with the edited text data.   4. The text data converter according to claim 1, wherein when the sound collected by the microphone is interrupted for a predetermined time, a new timeline is generated and the conversion to text data is continued. Nursing service support system described in. Having a position management system that manages the current position of the nurse, and having a nursing-related information storage unit that stores individual bed position information and the association between the bed and the patient,
Further, a patient identification that acquires the position of the nurse who is inputting voice to the microphone device from the position management system, and identifies the patient by referring to the nursing-related information storage unit based on the acquired position information of the nurse. Having a part
The nursing service support system according to any one of claims 1 to 4, wherein the voice storage unit stores the patient information specified by the patient specifying unit together with the voice. From the character information converted to text data, a bed number, a patient determination unit that determines at least one of the patient's name and determines a patient to be treated,
The nursing service support according to any one of claims 1 to 4, wherein the text data stored in the text data storage unit is stored for each patient based on the patient information determined by the patient determination unit. system.

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